Management of duodenal injury: our experience and the value of tube duodenostomy

dc.contributor.authorGirgin, Sadullah
dc.contributor.authorGedik, Ercan
dc.contributor.authorYagmur, Yusuf
dc.contributor.authorUysal, Ersin
dc.contributor.authorBac, Bilsel
dc.date.accessioned2024-04-24T17:44:40Z
dc.date.available2024-04-24T17:44:40Z
dc.date.issued2009
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND The aim of this study was to report our experience with duodenal injuries and determine if primary repair and/or tube duodenostomy are valid options for definitive operative repair of severe duodenal injuries. METHODS Sixty-seven patients who underwent surgery for duodenal injuries were evaluated. Management of duodenal injury was classified as primary repair and tube decompression. RESULTS Fifty-nine patients were injured by a penetrating mechanism, and eight were injured by blunt mechanism. The most common injury site was in the second portion of the duodenum. There were no significant differences between the two groups with respect to morbidity and mortality rate. In 35 patients without morbidity, the mean length of hospital stay was 18.53+/-1.85 days in the tube duodenostomy group and 11.45+/-1.92 days in the primary repair group, and the difference was statistically significant. In the 32 patients with morbidity, the mean length of hospital stay was 47.05+/-10.46 days in the tube duodenostomy group and 49.86+/-10.86 days in primary repair group, but there was no statistically significant difference between the groups. CONCLUSION Primary repair is suitable in the vast majority of duodenal injuries; tube duodenostomy increases the length of hospital stay and does not improve clinical outcome.en_US
dc.identifier.endpage472en_US
dc.identifier.issn1306-696X
dc.identifier.issue5en_US
dc.identifier.pmid19779988en_US
dc.identifier.startpage467en_US
dc.identifier.urihttps://hdl.handle.net/11468/22225
dc.identifier.volume15en_US
dc.identifier.wosWOS:000269782600010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDuodenal Injuriesen_US
dc.subjectPrimary Repairen_US
dc.subjectTube Duodenostomyen_US
dc.titleManagement of duodenal injury: our experience and the value of tube duodenostomyen_US
dc.typeArticleen_US

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